A Randomized Controlled Trial of In-Home Tele-Behavioral Health Care Utilizing Behavioral Activation for Depression

A Randomized Controlled Trial of In-Home Tele-behavioral Health Care Utilizing Behavioral Activation for Depression

This study will evaluate the effectiveness of a web-based behavioral activation(BA) treatment for depression by comparing it to in-person BA treatment in Soldiers and Veterans with Major and Minor Depressive Disorder. We will test the hypothesis that 8 sessions of in-home BA delivered via a webcam will be as safe and effective in reducing symptoms of hopelessness and depression as in-person BA treatment for depression.

Inclusion Criteria:

• Current Major Depressive or Minor Depressive Disorder
• High-speed internet/network access at home (384kbs minimum)
• Informed consent
• Fluent in the English language

Exclusion Criteria:

• Currently undergoing psychotherapy for depression
• less than 18 or greater than 65 year of age
• Active psychotic symptoms/disorders as determined by the SCID for DSM-IV
• Dysthymic Disorder
• Current suicidal ideation with intent or recent (within six months) history of a suicide attempt
• History of Organic Mental Disorder
• Current substance dependence as determined by the SCID (lifetime substance dependence or substance abuse will not be excluded)
• History of violence or poor impulse control causing potential risk to staff or others
• Significant ongoing stressors that require urgent crisis intervention
• Having a living arrangement that will not permit the use of a private space to participate in the study